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Published on: September 28, 2015
ACE inhibitor-induced angioedema causing small bowel obstruction
Megan Melendez1, John M Grosel
1At the time this article was written, Megan Melendez was a student in the PA program at Marietta (Ohio) College. She now practices at Catawba Radiology in Hickory, N.C. John M. Grosel is a radiologist at Riverside Radiology and Interventional Associates, Inc., based in Columbus, Ohio, and a McCoy professor in the PA program at Marietta College. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Mucosal angioedema of the face, lips, tongue, and throat is a well-recognized adverse reaction to angiotensin-converting enzyme (ACE) inhibitors that is experienced by a minority of patients. Rarely, this angioedema can involve the small bowel, and patients commonly present with abdominal pain and small bowel obstruction. Due to the increasing number of patients being treated for hypertension, clinicians should consider the diagnosis of small bowel angioedema secondary to ACE inhibitor use in all patients with this presentation who are using this class of medications.
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